Rose, Judith G
Rose, Judith G is an individual health care provider with primary practice located at 1516 Cotner Ave , Los Angeles CA 90025-3303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Rose, Judith G can be contacted via phone (310) 445-2951.Contact Information
Primary practice address
1516 Cotner Ave
Los Angeles CA 90025-3303
Phone: (310) 445-2951
Fax: (310) 479-1459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G36279 | California |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | G36279 | California |
Profile Details
| NPI number | 1982645131 |
|---|---|
| LBN Legal business name | Rose, Judith G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Feb 10th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982645131 | NPPES |
| California | MEDICAID | 00G362790 | |
| California | MEDICAID | GR0106039 | |
| California | Other | 00G362790 |
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